CAROLYN J PASS, M.D., P.A. (NPI# 1447567466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447567466 |
| Entity Type | Organization |
| Organization Name | CAROLYN J PASS, M.D., P.A. |
| Practice Address |
1001 Pine Heights Ave Suite 301 Baltimore MD 21229-5208 |
| Practice Telephone | 4105251515 |
| Mailing Telephone | 4105251515 |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |
| Authorized Official Name | DR. CAROLYN JOAN PASS (PRESIDENT) |
| Authorized Official Telephone | 4105251515 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | D0010952 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 082521200 | 05 |
| Street Address |
1001 PINE HEIGHTS AVE SUITE 301 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-5208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952307373 | Richard M Susel | Ophthalmology | 1001 Pine Heights Ave, Ste 101, Baltimore, MD 21229-5266 | 2005-06-21 |
| 1619599727 | Susan C Westgate | Social Worker | 1001 Pine Heights Ave, Baltimore, MD 21229-5208 | 2020-05-12 |
| 1205362837 | Baltimore Medical System Inc | Clinic/Center | 1001 Pine Heights Ave, Baltimore, MD 21229-5208 | 2017-05-02 |
| 1992138648 | Judith Andrea Holt | Nurse Practitioner | 1001 Pine Heights Ave, Suite 202, Baltimore, MD 21229-5208 | 2013-08-16 |
| 1336450253 | Shannarose Guma | Internal Medicine | 1001 Pine Heights Ave, Suite 205, Baltimore, MD 21229-5208 | 2010-06-25 |
| 1033316088 | Drs. Engelke & Ashmore, P.a. | Obstetrics & Gynecology | 1001 Pine Heights Ave, Suite 203, Baltimore, MD 21229-5208 | 2007-07-02 |
| 1922203025 | Chesapeake Urology Associates P.a. | Durable Medical Equipment & Medical Supplies | 1001 Pine Heights Ave, Suite 100, Baltimore, MD 21229-5208 | 2007-06-19 |
| 1780800359 | Physicians Eye Care Center LLC | Ophthalmology | 1001 Pine Heights Ave, Suite 101, Baltimore, MD 21229-5208 | 2007-04-18 |
| 1386738938 | Barry J Reiner | Pediatrics | 1001 Pine Heights Ave, Suite 202, Baltimore, MD 21229-5208 | 2006-10-03 |
| 1972604239 | Mary Ann Sorra | Obstetrics & Gynecology | 1001 Pine Heights Ave, Suite 203, Baltimore, MD 21229-5208 | 2006-09-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
| 1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
| 1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
| 1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
| 1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
| Find all providers in zip 21229 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265896633 | George Olen Denny | Dermatology | 601 N Caroline St Ste 8072, Baltimore, MD 21287-0006 | 2016-04-11 |
| 1568801801 | Kristin Page Bibee | Dermatology | 601 N Caroline St # 8083, Baltimore, MD 21287 | 2013-06-20 |
| 1174960306 | Jeffrey F. Scott | Dermatology | 601 N Caroline St # 8072, Baltimore, MD 21287-0006 | 2013-05-29 |
| 1205191400 | Shawn Kwatra | Dermatology | 601 N Caroline St Ste 8065, Baltimore, MD 21287-0006 | 2012-07-12 |
| 1508132846 | Elise Ng | Dermatology | 4940 Eastern Ave # 01, Baltimore, MD 21224-2735 | 2012-03-30 |
| 1760772685 | Mitchell Klapper M.d., P.a. | Dermatology | 122 Slade Ave Ste 202, Baltimore, MD 21208-4993 | 2011-04-12 |
| 1174813448 | Mamta Bhasker Jhaveri | Dermatology | 601 N Caroline St Fl Street8, Baltimore, MD 21287-0006 | 2011-04-07 |
| 1558688820 | Cecilia Alejandra Larocca | Dermatology | 218 N Charles St, Apt. 1511, Baltimore, MD 21201-4021 | 2010-04-27 |
| 1598998072 | Mary Sopocko | Dermatology | 208 E Chase St, Baltimore, MD 21202-3808 | 2009-08-31 |
| 1538326772 | Sridhar Dronavalli | Dermatology | 419 W Redwood St Ste 160, Baltimore, MD 21201-1782 | 2008-05-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.